Sai Pavan Adigarla, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38866 Issued in TX

Practice address

5107 College Ave Ste 2
Snyder, TX 79549-6277

Phone

(325) 574-1512

NPI assigned

Aug 6, 2022

Last updated

Aug 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1053048223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 37TH ST APT 1001",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795494833",
            "telephone_number": "270-996-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 COLLEGE AVE STE 2",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795496277",
            "telephone_number": "325-574-1512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 N Dallas Ave # C",
            "address_purpose": "LOCATION",
            "city": "Lamesa",
            "state": "TX",
            "postal_code": "793315519",
            "country_code": "US",
            "telephone_number": "806-870-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADIGARLA",
        "first_name": "SAI PAVAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Firaza Aduviso, DPT
• Vanessa Daniell Arnwine
• Jessica Baldridge, LPC
• Allen Wayne Barnhouse
• Dlinda G Benham, NP

• General Practice Dentistry in Snyder, TX
• Providers in Snyder, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.